The causes of acute intoxications in the course of one year admitted to intensive metabolic care unit

Česká verzia

Authors: J. Charvát ¹; T. Vaněček ¹; M. Souček ¹; Z. Baraníková ²; S. Kozáková ¹
Authors place of work: Interní klinika 2. lékařské fakulty UK a FN Motol, Praha, přednosta doc. MUDr. Milan Kvapil, CSc. ¹; Klinika dětské psychiatrie 2. lékařské fakulty UK a FN Motol, Praha, přednosta doc. MUDr. Michal Hrdlička, CSc. ²
Published in the journal: Vnitř Lék 2005; 51(3): 299-303
Category: Original Contributions

Summary

We present the survey of the patients admitted to Intensive metabolic care unit (IMCU) for acute intoxication during 1 year – 2002. During 2002 we have admitted altogether 677 patients to IMCU. Out of them 213 (31.5%) were admitted for acute intoxication, 100 men of the average age 36.8 ± 11.8 years and 113 women of the average age 41.5 ± 14.0 years. 6 patients were admitted twice for the reccurent intoxication. The most common cause for acute intoxication was suicidial attempt which was discovered in 149 cases of intoxication (68.1%), followed by toxicomania in 12.8%, alcohol intoxication in chronic alcoholics in 13.2%, accidentally in 3.6% of cases. Psychatric in-patient treatment was indicated in 91 cases afterwards. Hypnotics alone or in combination with alcohol were used in 85 cases (39%), only alcohol in 33 (15%), antidepresive drugs in 26 (12%), analgesic drugs in 15 (6.8%), opiods in 13 (6%). The mild and moredate intoxications represent 90% of all the cases. Only 10% of acute intoxications were severe with the need of the artificial ventilatory support and (or) elimination procedure. During 2002 one patient had died only due to accidental intoxication with etylenglycol. Short-term prognosis of the patients admitted for acute intoxication is very good. However many patients need the futher psychiatric treatment including hospitalisation in psychiatric department.

Key words:
intensive metabolic care unit – intoxication

Zdroje

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